and so all of the cities, the same results have been found, reducing the health outcomes and it is a side effect of what is ultimately a job stimulus program. and we were seeing mess with stimulus where is our country had a recession on this at the exact same time and underwent an austerity program with a clip the recovery and now they are starting into a triple digit recession. and this ended for us around the time of the sequester when we started flattening things out in terms of the recovery. in the imf issued a paper and a major policy document. as well as a public statement from its chief economist. they were basically 400 pages of sidewalks. and it was a fascinating document if you can get through the rhetoric here. and that assumption is that for every dollar of government spending, how many dollars will we get back. and the imf and others had assumed that the number was about .5. and you can find that the reasons for this is because it's a nice round number and it seems better. look for different groups calculate that and say during recessions, how many dollars do you get bac